慢性咳嗽患儿家长呼吸道管理认知度及影响因素研究分析
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摘要
目的:研究与分析慢性咳嗽患儿家长呼吸道管理认知度及影响因素。方法:选取2016年6月—2018年9月本院收治的100例慢性咳嗽患儿的家长为研究对象,采用呼吸道管理问卷对其进行呼吸道管理认知度评估,比较家长因素(性别、年龄、文化程度及社会支持程度)与儿童因素(病程、严重程度、合并其他疾病情况及居住地)的呼吸道管理认知度,采用多因素Logistic回归分析处理上述研究因素与慢性咳嗽患儿家长呼吸道管理认知度的关系。结果:100例慢性咳嗽患儿家长的呼吸道管理认知度较高、一般与较低者分别为52、30、18例,分别占52.00%、30.00%及18.00%,不同性别、年龄、文化程度、社会支持程度、病程、严重程度、合并其他疾病情况及居住地者的呼吸道管理认知度比较,差异有统计学意义(P<0.05),多因素Logistic回归分析显示,性别、年龄、文化程度、社会支持程度、病程、严重程度、合并其他疾病情况及居住地均是慢性咳嗽患儿家长呼吸道管理认知度的影响因素。结论:慢性咳嗽患儿家长呼吸道管理认知度较低,且影响因素涉及家长因素与儿童因素,应给予充分的重视与干预。
Objective:To study and analyze the cognition of parents of children with chronic cough for respiratory management and its influence factors.Method:100 parents of children with chronic cough during the time of June 2016 to September 2018 were selected as the research objects,the cognition of parents for respiratory management were evaluated with respiratory management questionnaire,parental factors(gender,age,education level and social support level)were compared with child factors(course of illness,severity combined with other conditions and place of residence)for respiratory management awareness,multivariate Logistic regression was used to analyze the relationship between the above factors and the respiratory management awareness of parents of children with chronic cough.Result:The high,general and low cognition of 100 parents for respiratory management were respectively 52 cases,30 cases and 18 cases,the rates were respectively 52.00%,30.00%and 18.00%,the cognition for respiratory management of parents with different gender,ages,education levels,social support degree,disease course,severity degree,other disease situation and residence were compared,the differences were statistically significant(P<0.05),the multivariate Logistic regression analysis showed the gender,age,education level,social support degree,disease course,severity degree,other disease situation and residence were the influence factors of cognition of parents of children with chronic cough for respiratory management.Conclusion:The cognition of parents of children with chronic cough for respiratory management is low,and the influence factors included parents factors and children factors,so they should be paid to more attention and intervention.
Objective:To study and analyze the cognition of parents of children with chronic cough for respiratory management and its influence factors.Method:100 parents of children with chronic cough during the time of June 2016 to September 2018 were selected as the research objects,the cognition of parents for respiratory management were evaluated with respiratory management questionnaire,parental factors(gender,age,education level and social support level)were compared with child factors(course of illness,severity combined with other conditions and place of residence)for respiratory management awareness,multivariate Logistic regression was used to analyze the relationship between the above factors and the respiratory management awareness of parents of children with chronic cough.Result:The high,general and low cognition of 100 parents for respiratory management were respectively 52 cases,30 cases and 18 cases,the rates were respectively 52.00%,30.00%and 18.00%,the cognition for respiratory management of parents with different gender,ages,education levels,social support degree,disease course,severity degree,other disease situation and residence were compared,the differences were statistically significant(P<0.05),the multivariate Logistic regression analysis showed the gender,age,education level,social support degree,disease course,severity degree,other disease situation and residence were the influence factors of cognition of parents of children with chronic cough for respiratory management.Conclusion:The cognition of parents of children with chronic cough for respiratory management is low,and the influence factors included parents factors and children factors,so they should be paid to more attention and intervention.
引文
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[13]徐海军,孙新.城镇幼儿园家长对儿童保健知识知晓及需求现状调查-以西安市省级示范幼儿园为例[J].延安大学学报:医学科学版,2017,15(2):61-62,76.
[14]于畅洋.健康教育对绥芬河地区婴儿家长参与0~7岁儿童保健的效果评价[J].辽宁医学杂志,2016,30(2):74-75.
[15]樊长岭.家长对儿童保健知识知晓率及调查研究[J/OL].临床医药文献杂志(电子版),2016,3(44):8864-8864,8866.
[16]Ingram J,Cabral C,Hay A D,et al.Parents’information needs,self-efficacy and influences on consulting for childhood respiratory tract infections:A qualitative study[J].BMC Family Practice,2013,14(1):106.
[17]Cabral C,Ingram J C,Lucas P J,et al.The influence of clinical communication on parents’antibiotic expectations for children with Respiratory Tract Infections[J].Annals of Family Medicine,2016,14(2):141-147.
[18]Chong Y Y,Leung D,Mak Y W.When Control Exacerbates Distress:A Qualitative Study Exploring the Experiences of Hong Kong Chinese Parents in Caring for a Child with Asthma[J].International Journal of Environmental Research&Public Health,2018,15(7):1372.
[19]吴敏艳.分析影响家长儿童保健知识知晓率的因素[J].医学理论与实践,2015,28(4):533-535.
[20]张云.慢性咳嗽患儿病因分布及影响因素分析[J].中国妇幼保健,2016,31(8):1675-1677.
[21]王梅.家长对儿童保健知识知晓率及影响因素调查分析[J].中国现代药物应用,2014,8(13):252-253.
[2]贾志英.儿童慢性咳嗽的病因及影响因素[J].中国卫生工程学,2018,18(1):65-66.
[3]张含嘉,于恪,邓海燕.深圳地区慢性咳嗽病因构成和危险因素分析[J].深圳中西医结合杂志,2017,27(5):6-8.
[4]谢宇飞,顾华.小儿慢性咳嗽原因分布与相关因素分析[J].中国继续医学教育,2017,9(24):42-43.
[5]翁泽林,江文文,郑燕霞,等.儿童慢性咳嗽279例常见病因与危险因素分析[J].疑难病杂志,2017,16(2):172-176.
[6]陈妍妍.151例小儿慢性咳嗽发病影响因素的临床分析[J].慢性病学杂志,2016,18(2):234-236.
[7]谢洲林.不同年龄儿童慢性咳嗽病因构成和高危因素研究[J].中国现代药物应用,2016,10(18):74-76.
[8]Chang A B,Oppenheimer J J,Weinberger M,et al.Etiologies of chronic cough in pediatric cohorts-CHEST Guideline and Expert Panel Report[J].Chest,2017,152(3):607-617.
[9]Kantar A.Phenotypic presentation of chronic cough in children[J].Journal of Thoracic Disease,2017,9(4):907-913.
[10]姜红.小儿慢性咳嗽的病因分布及相关影响因素[J].热带医学杂志,2016,16(11):1426-1428.
[11]谢新华,周惠尔,邹金良,等.海华社区0~36月龄儿童保健家长保健及接受服务依从性分析[J].中国妇幼卫生杂志,2017,2(1):69-70,79.
[12]刘春玉,陈金燕,伦笑霞,等.厚街镇儿童家长儿童保健知识知晓情况和需求分析[J].齐齐哈尔医学院学报,2017,38(20):2448-2449.
[13]徐海军,孙新.城镇幼儿园家长对儿童保健知识知晓及需求现状调查-以西安市省级示范幼儿园为例[J].延安大学学报:医学科学版,2017,15(2):61-62,76.
[14]于畅洋.健康教育对绥芬河地区婴儿家长参与0~7岁儿童保健的效果评价[J].辽宁医学杂志,2016,30(2):74-75.
[15]樊长岭.家长对儿童保健知识知晓率及调查研究[J/OL].临床医药文献杂志(电子版),2016,3(44):8864-8864,8866.
[16]Ingram J,Cabral C,Hay A D,et al.Parents’information needs,self-efficacy and influences on consulting for childhood respiratory tract infections:A qualitative study[J].BMC Family Practice,2013,14(1):106.
[17]Cabral C,Ingram J C,Lucas P J,et al.The influence of clinical communication on parents’antibiotic expectations for children with Respiratory Tract Infections[J].Annals of Family Medicine,2016,14(2):141-147.
[18]Chong Y Y,Leung D,Mak Y W.When Control Exacerbates Distress:A Qualitative Study Exploring the Experiences of Hong Kong Chinese Parents in Caring for a Child with Asthma[J].International Journal of Environmental Research&Public Health,2018,15(7):1372.
[19]吴敏艳.分析影响家长儿童保健知识知晓率的因素[J].医学理论与实践,2015,28(4):533-535.
[20]张云.慢性咳嗽患儿病因分布及影响因素分析[J].中国妇幼保健,2016,31(8):1675-1677.
[21]王梅.家长对儿童保健知识知晓率及影响因素调查分析[J].中国现代药物应用,2014,8(13):252-253.